Mavis Patricia Charles REGISTERED NURSE

NPI 1679750681 - Registered Nurse - 163W00000X

NPI Details
NPI 1679750681
Gender Female
Enumeration Date 01/22/2008
Last Updated 01/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
25735 148TH DR
ROSEDALE NY, 11422-3018, US
Phone (718) 949-8688
Fax (718) 949-8688
Business Location
25735 148TH DR
ROSEDALE NY, 11422-3018, US
Phone (718) 949-8688
Fax (718) 949-8688
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 443796-1
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According to our database, Mavis Patricia Charles REGISTERED NURSE NPI is 1679750681, taxonomy code is 163W00000X and license number is 443796-1, license state is located at New York. Mavis Patricia Charles REGISTERED NURSE physically located at 25735 148th Dr, Rosedale NY, 11422-3018. NPI Number Mavis Patricia Charles REGISTERED NURSE has the Individual type.

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1679750681 NPI number is provided on an as is basis without warranty of any kind. 1679750681 is maintained by the National Plan & Provider Enumeration System. The contents of Mavis Patricia Charles REGISTERED NURSE are for informational purposes only.